踝关节扭伤与慢性踝关节不稳患者的三维步态参数分析.pdfVIP

浙江临床医学2025年5月第27卷第5期·667·

·临床研究·

踝关节扭伤与慢性踝关节不稳患者的三维步态参数分析

吴向科郭文煊严泽辰庄汝杰*

【摘要】目的探讨踝关节扭伤（LAS）和慢性踝关节不稳（CAI）患者的步态差异。方法收集LAS和CAI患者的步态参数，采用一维统

计参数映射的方法进行全步态周期分析。结果LAS患者与健康者髋关节内收及外展角度、髋关节伸直力矩、髋关节输出功率、踝关节跖屈

及背伸角度、踝关节内、外翻角度、踝关节外翻力矩和踝关节输出功率比较差异有统计学意义（P0.05）。CAI患者与健康者髋关节屈、伸角

度、内收及外展角度、髋关节外展力矩、髋关节输出功率、踝关节跖屈及背伸角度、踝关节内、外翻角度、踝关节外翻力矩和踝关节输出功

率比较差异有统计学意义（P0.05）。LAS患者与CAI患者髋关节屈伸角度、髋关节外展力矩、髋关节输出功率、踝关节跖屈及背伸角度、踝

关节内、外翻角度、踝关节输出功率比较差异有统计学意义（P0.05）。结论与CAI患者相比，LAS患者在步态的中晚期站立阶段表现出更

大的踝关节内翻角度。

【关键词】踝关节扭伤慢性踝关节不稳一维统计参数三维步态分析

【Abstract】ObjectiveToinvestigatethedifferencesingaitbetweenindividualswithanklesprainsandchronicankleinstability.MethodsGait

parameterswerecollectedfrompatientswithanklesprainsandchronicankleinstability.Aone-dimensionalstatisticalparametricmappingmethodwas

usedtoanalyzetheentiregaitcycle.ResultsSignificantdifferenceswereobservedbetweenanklesprainpatientsandhealthycontrolsinthefollowing

parameters(P0.05):hipadduction/abductionangle,hipextensionmoment,hippoweroutput,ankleplantarflexion/dorsiflexionangle,ankleinversion/eversion

angle,ankleeversionmoment,andanklepoweroutput.Significantdifferenceswerealsofoundbetweenchronicankleinstabilitypatientsandhealthycontrolsin

thefollowingparameters(P0.05):hipflexion/extensionangle,hipadduction/abductionangle,hipabductionmoment,hippoweroutput,ankleplantarflexion/

dorsiflexionangle,ankleinversion/eversionangle,ankleeversionmoment,andanklepoweroutput.Furthermore,significantdifferenceswereobservedbetween

anklesprainpatientsandchronicankleinstabilitypatientsinthefollowingparameters(P0.05):hipflexion/extensionangle,hipabductionmoment,hippower

output,ankleplantarflexion/dorsiflexionangle,ankleinversion/eversionangle,andanklepoweroutput.C